title: A practical approach to prescribing antidepressants.
abstract: Although antidepressant drugs do not differ much in their efficacy rates, the particular characteristics of one drug may make it a better choice in a given patient. This article provides insight into the art of prescribing antidepressants in primary care, with recommendations for prescribing for patients with chronic pain, sexual dysfunction, anxiety, chronic fatigue syndrome, fibromyalgia, severe insomnia, old age, diabetes, and heart problems.
authors.affiliation: Department of Psychiatry and Psychology, Cleveland Clinic; Clinical Instructor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Shultz
authors.forename: Donald A
authors.initials: DA
authors.lastname: Malone
mesh_terms: D000367:Age Factors; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001007:Anxiety / Q000188:drug therapy; D059350:Chronic Pain / Q000150:complications / Q000188:drug therapy; D003863:Depression / Q000150:complications / Q000188:drug therapy*; D003920:Diabetes Mellitus; D015673:Fatigue Syndrome, Chronic / Q000150:complications / Q000188:drug therapy; D006331:Heart Diseases / Q000150:complications; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D012735:Sexual Dysfunction, Physiological / Q000139:chemically induced; D007319:Sleep Initiation and Maintenance Disorders / Q000139:chemically induced / Q000150:complications; D015430:Weight Gain / Q000187:drug effects
chemical_list: D000928:Antidepressive Agents